Welcome

Eligibility

As a full-time employee regularly working 30 or more hours per week, you and your qualified dependents are eligible for group medical, dental and vision insurance. You are eligible to participate in the Precision Reprographics benefits program on the first day of the month that follows 60 days of continuous employment.  It is your responsibility to enroll in and manage your benefits program.

Enrollment Forms

Benefit Election Form | Employee Acknowledgement of Receipt of SPD

Informational Notices

Wrap Summary Plan Description | Wrap Plan Document | Premium Conversion Plan

Contribution

Precision Reprographics contributes 100% towards the Employee Only plan for the HMO HSA B9E1ADT medical plan. Employees are responsible for the difference in selecting the HMO copay plan, the PPO HSA plan, or the PPO copay plan and for 100% of any dependent cost for any plan. Precision Reprographics offers dental and vision coverage for employees and their qualified dependents at the employee’s expense.

Employee Portion

The employee portion of the costs is included below for policy period September 1, 2023 to August 31, 2024. 

Semi-Monthly Cost Medical Voluntary Dental Voluntary Vision
PPO Copay S663CHC PPO HSA B660CHC HMO Copay S9J7ADT HMO HSA B9E1ADT
Employee Only $132.43 $99.67 $25.32 $0.00 $19.47 $4.45
Employee & Spouse $438.05 $372.54 $223.83 $173.20 $41.38 $7.75
Employee & Child(ren) $438.05 $372.54 $223.83 $173.20 $44.98 $8.12
Employee & Family $743.67 $645.40 $422.34 $346.39 $64.57 $12.90
Enrollment

You must enroll prior to the effective date, and you are responsible to enroll and manage your benefit selections. Complete the Enrollment Form above and forward to Human Resources.

Details of each plan are contained in various insurance contracts and other legal documents. In the event of a conflict between information contained here and the contracts and plan documents, the contracts and plan documents prevail.

Medical

Medical Benefit Plan Description

Precision Reprographics offers medical coverage with BlueCross BlueShield of Texas and offers multiple plan options.  To review the plans please click the links below. Employees electing the  HDHP/HSA plan must complete an HSA enrollment form in order to contribute to their HSA account.

BCBS Medical Benefit Summary
PPO Copay S663CHC | PPO HSA B660CHC | HMO Copay S9J7ADT | HMO HSA B9E1ADT

BCBS Certificate of Coverage
PPO Copay S663CHC | PPO HSA B660CHC | HMO Copay S9J7ADT | HMO HSA B9E1ADT

Group Number: 372620 Please have your Group Number & Identification Number available when contacting the insurance carrier.

Sign Up for Blue Access for MembersSM (BAM)

Blue Access for Members Virtual Tour | Go Mobile with the BCBSTX App

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Use the mobile app to access provider finder, get your ID card, view benefits and claims.

Claims & Customer Service: 1.800.521.2227 | Making Your Insurance Work For You | Provider Network | PPO & HMO Provider Finder Instructions | Sanitas Medical Centers

Wellness Services | Wellness Site | Blue Points Reward Program | Member Rewards | Fitness Program | Behavioral Health | Blue365

BCBS Claims Online | BCBS Rx Claims | Preferred Pharmacy Network | Express Scripts Mail Order PharmacyRx Formulary | Downloadable Forms

MD Live

Blue Cross Blue Shield PPO FAQs

Refer to your Combined Evidence of Coverage and Disclosure Form or Plan Agreement for a more detailed listing of benefits and coverage, including exclusions, limitations and conditions applicable.

I misplaced my ID card, how can I request another?
You may request a duplicate ID card online by clicking here, or access ID from mobile app.
I recently moved, how can I change my address?
Submit a request to change your address in writing, or contact the Customer Service Department.
How can I add a newborn to my contract?
You must submit a request to add a newborn to your contract in writing. BlueCross BlueShield of Texas must receive this form within 31 days from the date of birth. *Your employer must be notified of any change to your coverage before sending this application to BlueCross BlueShield.
How long can my children remain on my contract?
An existing dependent child may remain on the plan until their 26th birthday.
Where can I get a list of physicians or hospitals that participate in the BlueCross BlueShield of Texas Network?
This information is available in the Provider Search or you can contact the Customer Service Department to request a provider directory, or use the mobile app.
How can I get referred to a specialist?
For BlueCross BlueShield (PPO) Members: If you select a specialist that participates in the BlueCross BlueShield Network, a referral is not required. If you select a specialist that does not participate in the BlueCross BlueShield Network, your personal financial costs will be considerably higher than when you use participating providers. You will have to pay any part of a provider's bill which is over what BCBS allows in benefits for non-participating providers.
How can I get a claim form so I can submit my doctor's bill to BlueCross BlueShield?
Open the Medical Claim Form. Print this form on your printer. Follow the instruction on the form and send it to Blue Cross or contact the Customer Service Department to have a claim form mailed to you, or use the mobile app.
What is the status of my medical claim?
Claim status is available online by clicking here, or use the mobile app.

HSA

HSA Custodian

Health Savings Accounts are savings accounts that allow employees to pay for qualified out-of-pocket medical, dental and vision expenses using pre-tax dollars. The funds in the HSA belong to the employee and the employee can spend their funds as they wish. The funds may be used tax-free to pay any eligible expense incurred by the employee and their immediate family members. To contribute to an HSA, the employee must enroll in a qualified High Deductible Health Plan (HDHP).

You will need to establish an HSA account to receive employer contributions and make employee contributions through payroll. For expenses to be eligible for reimbursement from an HSA, the account must be open before incurring the expense. You may have additional HSA accounts, and you may elect to transfer funds to other HSA accounts with additional investment options.

Employees may contribute funds through payroll deductions to their Health Savings Accounts, and you may change the contribution amount at any time. Since the contributions are tax-free, the IRS establishes annual maximum contributions limits which are the annual limits for combined employer and employee contributions. Key HSA Features

Enrolling in benefits for the first time or becoming eligible for Medicare creates partial-year eligibility HSA contribution questions. HSA Contributions and Partial-Year Eligibility | HSA & Medicare

Investment Options / Income Tax Regulations / Eligible Expenses / Medicare and HSA's

Dental

Dental Benefit Plan Description

Precision Reprographics offers dental coverage through Ameritas. Your dentist office will need the social security number of the insured employee to access benefits. To review the plan please click the link below.

Ameritas Dental Benefit Summary

Ameritas Certificate of Coverage

Group Number: 10252 Please have your Group Number & Identification Number available when contacting the insurance carrier.

Customer Service: 1.800.999.9789 | Provider Finder 

Vision

Vision Benefit Plan Description

Precision Reprographics offers vision coverage through Ameritas. Your vision provider will need the social security number of the employee and the group number to access benefits. To review the plan please click the link below.

Ameritas Vision Benefit Summary

Ameritas Vision Certificate of Coverage

Group Number: 10252 Please have your Group Number & Identification Number available when contacting the insurance carrier.

Customer Service: 1.866.289.0614 | Provider Finder 

Compliance

The following is a compilation of various required federal compliance notices which are to be provided to employees. If you have questions or need a copy of a specific notice, please contact your Human Resources administrator. If any conflicts between the plan documents and the information provided exist, the plan document language is to be relied upon.

The information and notices are provided in the following order:

New Hires / Upon Eligibility for Health Plan  Upon Enrollment in Group Health Plan

*Documents Included in Wrap Summary Plan

Upon Coverage Termination General